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March 29, 2014 AT 7:52 AM
As a roller-coaster sign-up season winds down, President Barack Obama's health care law has indeed managed to change the country. Americans are unlikely to go back to a time when people with medical problems could be denied coverage. But Obama's overhaul needs major work of its own if it is to go down in history as a legacy achievement like Medicare or Social Security. Major elements of the Affordable Care Act face an uncertain future: —As a 6-month-long sign-up season comes to an end Monday the administration's next big challenge is to make 2015 open enrollment more manageable for consumers unaccustomed to dealing with insurance jargon. There's also concern premiums will rise next year.